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Organization
BUILDING HEALTHY BRIDGES
Active
Organization
BUILDING HEALTHY BRIDGES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZANDRA TYLER (PRESIDENT)
(888) 311-4355
Entity
Organization
Contact information
Practice address
10834 S WABASH AVE, CHICAGO, IL 60628-3531
(888) 311-4355
Mailing address
PO BOX 439408, CHICAGO, IL 60643-9408
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
NULL
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103T00000X
Psychologist
—
NULL
103T00000X
Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
NULL
103TP2701X
Group Psychotherapy Psychologist
—
—
104100000X
Social Worker
—
NULL
104100000X
Social Worker
—
—
251E00000X
Home Health Agency
Primary
—
NULL
251J00000X
Nursing Care Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
372500000X
Chore Provider
—
NULL
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
NULL
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
—
NULL
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
NULL
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
—
NULL
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
07/09/2009
Last updated
04/07/2011
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